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RELEASE AND WAIVER AND AUTHORIZATION
FOR MEDICAL TREATMENT
EXONERACIÓN, RENUNCIA Y AUTORIZACIÓN PARA TRATAMIENTO MÉDICO
Your Email Address:
(Correo electrónico):
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Today's Date:
(El día de hoy):
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Are you completing this waiver for an adult (over 18 years of age) or for a child (18 and under)?
(¿Está usted completando este documento de renuncia para un adulto de (18 de edad) o para un niño/a (menor de 18 años)?)
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I am attending this event and completing this form for myself (Adult, Over 18)
I am completing this for my student (Minor, 18 and Under)
Select the event on your campus that you or your child will be attending:
(Seleccione el Evento al que asistirá)
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A1:8 Service - March 8-10, 2020
All Campuses - Global Mission Trips 2020
Children's Sports-Cypress, 2020
Children's Sports - West 2020
Children's Fitness - North, 2020
Children's Sports - North, 2020
Children's Sports-1463-2020
Adult Fitness - North, 2020
Adult Sports - North, 2020
Children's Sports - Woodway, 2020
Adult Sports- Woodway, 2020
Adult Fitness - Woodway, 2020
Adult Fitness - West, 2020
Nearly Newlywed-Elders Retreat-Woodway-February 28-29, 2020
SecondKids Volunteer GiGL - North, June 2019-May 2020
SecondKids Volunteer GiGL - West, June 2019-May 2020
SecondKids Volunteer GiGL - Woodway, June 2019-May 2020
Next Level-Bounce Party-Cypress-March 27, 2020
High School Beach Retreat - Woodway, June 2020
High School Beach Retreat - West, June 2020
High School Beach Retreat - North, June 2020
High School Beach Retreat - South, June 2020
High School Beach Retreat - Cypress, June 2020
High School Beach Retreat - 1463, June 2020
High School Beach Retreat - Global Team, June 2020
Jr High Beach Retreat - Woodway, June 2020
Jr High Beach Retreat - West, June 2020
Jr High Beach Retreat - North, June 2020
Jr High Beach Retreat - South, June 2020
Jr High Beach Retreat - Cypress, June 2020
Jr High Beach Retreat - 1463, June 2020
Jr High Beach Retreat - Global Team, June 2020
Next Level Camp - Woodway, June 2020
Next Level Camp - West, June 2020
Next Level Camp - North, June 2020
Next Level Camp - South, June 2020
Next Level Camp - Cypress, June 2020
Next Level Camp - 1463, June 2020
6th Grade Camp - Woodway, August 2020
6th Grade Camp - West, August 2020
6th Grade Camp - North, August 2020
6th Grade Camp - South, August 2020
6th Grade Camp - Cypress, August 2020
6th Grade Camp - 1463, August 2020
6th Grade Camp - Global Team, August 2020
Winter Retreat-Piney Woods -North, January 10-12, 2020
60+ Carnival Cruise-Woodway, January 20-25, 2020
50+ Collingsworth Concert - North, January 18, 2020
50+ Gaither Band Concert - North, February 6, 2020
Second Students-NYC Trip-Global-March 8-14, 2020
Student Serve Day-Woodway-March 18, 2020
Young Adults-Men's Paintball-Woodway-April 1, 2020
50+Botanical Gardens-North-April 2,2020
50+ Signature Sound Concert-North-April 4, 2020
60+ Americans Heritage Tour-Woodway-April 13-17, 2020
50+ Holocaust Museum-North-April 30, 2020
Adult III Austin Trip-North-May 6-8, 2020
Senior Adults-Astros Game-North-May 15, 2020
College-MVMNT Elders Retreat-West-June 4-6, 2020
50+ Talley's Concert-North-June 27, 2020
Power House Women's Retreat-WW-June 27-29, 2020
Adult III Penn. Fall Tour-North-October 20-24, 2020
Single Parent Family Vacation-Mo Ranch-Global-July 5-9, 2020
50+ Peter Pan-North-July 10, 2020
HS Fish Camp-North-July 19-21, 2020
Jhigh Lead Retreat-North-July 30-August 1, 2020
Secondkids Gigl Team-North-September 2020-July 2021
50+ Painted Churches Tour-North-October 9, 2020
Powerhouse retreat-Elder's Ranch-WW-November 13-14, 2020
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Event Registration Confirmation Number
(This number is located in your confirmation email when you registered online for Beach Retreat, Next Level Camp, or 6th Grade Camp.)
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🛈
Please select your preferred language:
(Seleccione su idioma preferido.)
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English
Spanish
Would you like a printer friendly copy of this document sent to you via an email upon completion?
(¿Desea una copia para imprimir de este documento que se le envió a través de un correo electrónico al finalizar?)
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Yes
No